🎯 Location: Laterosuperior to the sternum 1 thumb width below LU02 at the level of the 1st intercostal space 6 thumb widths lateral to the anterior midline.
⚠️ Cautions: Needle obliquely or laterally, never deeply or medially – risk of pneumothorax.
🎯 Location: On the anterior midline at the level with 4th intercostal space, midway between nipples.
⚠️ Cautions: Avoid deep needling – needle transversely along the sternum. New, worsening or unstable cardiac symptoms need medical assessment before treatment.
🎯 Location: On the anterior midline 3 thumb widths below umbilicus.
⚠️ Cautions: Avoid needling over the gravid uterus after the first trimester; where used in pregnancy, needle shallowly and only on a clear obstetric indication. Bleeding in pregnancy requires obstetric assessment.